Design: A randomised, controlled, prospective trial. Participants will be patients with non-healing diabetic foot ulcers. The study will aim to recruit 15 participants per study group (30 participants in total). Participants will be randomly allocated to one of two treatment groups: * Group 1: CYP-006TK * Group 2: Standard care This will be an open label study with respect to treatment allocation. However, the person reviewing images of the study ulcers to assess healing will be blind to the participant's treatment allocation. Participants assigned to Group 1 will be treated with CYP-0006TK dressings on 8 occasions over 4 weeks. The dressings will be changed every 3 or 4 days. After the first 4 weeks, participants in Group 1 will revert to standard care for the rest of the study. Participants assigned to Group 2 will have their ulcer treated with standard care throughout the study. Participants will attend a total of 16 scheduled visits over 24 weeks. There will be a mixture of on-site (hospital/clinic) visits, and home visits. The study will end 24 weeks after the initiation of treatment, unless the study ulcer is completely headed before then.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
30
CYP-006TK is allogenic mesenchymoangioblast-derived mesenchymal stem cells (MCA-derived MSCs) or Cymerus™ MSCs, seeded onto a heptylamine plasma polymer-coated silicone dressing
Central Adelaide Local Health Network
Adelaide, South Australia, Australia
Fiona Stanley Hospital
Perth, Western Australia, Australia
Royal Perth Hospital
Perth, Western Australia, Australia
Sir Charles Gairdner Hospital
Perth, Western Australia, Australia
Incidence and severity of treatment-emergent adverse events (TEAEs)
Time frame: 24 weeks
Incidence of changes from baseline in haematology, biochemistry, and urinalysis parameters.
Results will be summarised by individual and by treatment group using descriptive statistics.
Time frame: 24 weeks
Percentage of area change of study ulcer from baseline to weeks 12 and 24
Time frame: 12 and 24 weeks
Number of days to complete ulcer healing
Time frame: 12 and 24 weeks
Number of days to 50% ulcer healing
Time frame: 12 and 24 weeks
Percentage change in ulcer volume from baseline to weeks 12 and 24
Time frame: 12 and 24 weeks
Changes from baseline in ulcer pain assessed using a Numeric Rating Scale
Time frame: 12 and 24 weeks
Number clinic/home care visits across groups
Time frame: 12 and 24 weeks
Differences across groups on ulcer dressing products used
Time frame: 12 and 24 weeks
Changes from baseline in Quality of Life assessed using the Cardiff Wound Impact Schedule
Time frame: 12 and 24 weeks
Duration of clinic/home care visits across groups
Time frame: 12 and 24 weeks
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